Individual
MR. SHAUN PATRICK COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 W PARK ST, WESTVILLE, IL 61883-1635
(217) 267-3785
Mailing address
209 W PARK ST, WESTVILLE, IL 61883-1635
(217) 267-3785
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71002601A
IN
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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